Workplace Hazard Assessment Form Template for Australia

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Key Requirements PROMPT example:

Workplace Hazard Assessment Form

"I need a Workplace Hazard Assessment Form for our new chemical manufacturing facility opening in March 2025, with specific focus on handling hazardous materials and incorporating emergency response procedures for chemical spills."

Document background

The Workplace Hazard Assessment Form is a fundamental tool for maintaining workplace safety and ensuring compliance with Australian Work Health and Safety legislation. This document should be used whenever there are significant changes to workplace operations, introduction of new equipment or processes, or as part of regular safety reviews. The form encompasses comprehensive hazard identification, risk assessment, and control measure documentation, aligned with the requirements of the Work Health and Safety Act 2011 and its regulations. It serves as both a legal record of safety assessments and an active management tool for preventing workplace incidents. The document is designed to facilitate systematic evaluation of workplace risks while promoting consultation between management and workers, as required by Australian WHS laws.

Suggested Sections

1. Assessment Details: Basic information including date, location, assessor name(s), and department/area being assessed

2. Scope of Assessment: Clear definition of what areas, activities, or processes are being assessed

3. Hazard Identification: Systematic listing of all potential hazards observed, including physical, chemical, biological, psychological, and ergonomic hazards

4. Risk Assessment Matrix: Standard risk evaluation matrix to rate likelihood and consequence of each hazard

5. Current Control Measures: Documentation of existing safety measures and their effectiveness

6. Risk Rating: Assessment of risk levels for each identified hazard after considering current controls

7. Recommended Control Measures: Proposed additional controls following the hierarchy of controls

8. Action Plan: Specific actions required, including responsible persons and timeframes

9. Review and Sign-off: Signatures of assessor(s), supervisor, and health and safety representative

Optional Sections

1. Consultation Record: Details of worker consultation process - required when significant changes to workplace safety are proposed

2. Previous Incident History: Summary of relevant past incidents - include when assessing areas with history of incidents

3. Equipment/Machinery Specific Assessment: Detailed assessment for specific equipment - include when assessing high-risk machinery

4. Environmental Factors: Assessment of environmental conditions - include for outdoor work areas or temperature-sensitive environments

5. Emergency Response Considerations: Special emergency procedures - include for high-risk areas or remote locations

Suggested Schedules

1. Appendix A: Risk Matrix Guide: Detailed guide explaining how to use the risk assessment matrix

2. Appendix B: Hazard Checklist: Standard checklist of common workplace hazards by category

3. Appendix C: Control Measures Library: Reference list of typical control measures for common hazards

4. Appendix D: Relevant Legislation: Summary of applicable WHS legislation and codes of practice

5. Appendix E: Review Schedule: Template for scheduling regular reviews of identified hazards and controls

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Assessment Details
Scope
Hazard Identification
Risk Assessment
Control Measures
Action Planning
Consultation
Review and Monitoring
Emergency Procedures
Documentation
Responsibilities
Compliance
Training Requirements
Reporting
Sign-off and Authorization

Relevant Industries

Manufacturing

Construction

Mining

Healthcare

Education

Retail

Hospitality

Transportation and Logistics

Agriculture

Professional Services

Warehousing

Chemical Industry

Food Processing

Public Administration

Utilities

Relevant Teams

Workplace Health and Safety

Operations

Human Resources

Compliance

Quality Assurance

Facility Management

Risk Management

Production

Maintenance

Environmental Health

Training and Development

Relevant Roles

Workplace Health and Safety Manager

Risk Assessment Officer

Operations Manager

Site Supervisor

Facility Manager

Department Head

Safety Coordinator

Compliance Officer

Production Manager

Human Resources Manager

Quality Assurance Manager

Project Manager

Maintenance Supervisor

Environmental Health Officer

Training Coordinator

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Authors

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